Organization · NPI-2

Crescent Pain & Spine LLC

Pain Medicine, Interventional Pain Medicine · Richardson, TX

NPI number1043934698
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1043934698
Entity type
Organization (NPI-2)
Legal business name
Crescent Pain & Spine LLC
Organization subpart
No
Enumeration date
Sep 28, 2022
Certification date
Oct 28, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes
207L00000X Anesthesiology––
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine––
208200000X Plastic Surgery––
208600000X Surgery––
2086S0105X Surgery, Surgery of the Hand––

Practice location

990 S Sherman St
Richardson, TX 75081-4845

Phone 202-985-2191

Mailing address

403 Michael Dr
Murphy, TX 75094-3761

Authorized official

Ednan Sheikh
Owner
2029852191

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